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II � Environmental Health Department <br /> �- x A UU IIY <br /> -COUNTY <br /> Greatness grows here, <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: Sam's Kitchen India Grab&Go, 1385 E Yosemite AVE , MANTECA <br /> #44 Premises: Clean/Litter Free;Vermin-Proof <br /> OBSERVATIONS:Facility back door is not self closing. Provide self closing door. Correct before operating. <br /> CALCODE DESCRIPTION:The premises of each food facility shall be kept clean and free of litter and rubbish all clean and soiled linen <br /> shall be properly stored non-food items shall be stored and displayed separate from food and food-contact surfaces the facility shall be <br /> kept vermin proof.(114067 0), 114123, 114143(a)&(b), 114256, 114256.1, 114256.2, 114256.4, 114257, 114257.1, 114259, 114259.2, <br /> 114259.3, 114279, 114281, 114282) <br /> #45 Floors,Walls,Ceilings; Clean and Maintained <br /> OBSERVATIONS:I observe a missing proper coved base at the front service station, customer side of the front service counter, <br /> in the rest room. Provide proper coved base (Schluter)at the front service station and/or Slim Foot Coved tiles at the customer <br /> side of the front service counter and rest room. Correct before operating. <br /> CALCODE DESCRIPTION:The walls/ceilings shall have durable,smooth,nonabsorbent,light-colored,and washable surfaces. All <br /> floor surfaces,other than the customer service areas,shall be approved,smooth,durable and made of nonabsorbent material that is <br /> easily cleanable.Approved base coving shall be provided in all areas,except customer service areas and where food is stored in <br /> original unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143 <br /> (d), 114266, 114268, 114268.1, 114271, 114272) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp:88 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 84 °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 D reach in cooler/under prep table(front cold hold)--Back-- 2 d upright cooler--380 Fahrenheit <br /> 400 Fahrenheit <br /> NOTES <br /> Pre Final Inspection. <br /> All equipment are NSF. <br /> Existing water heater is 35,500 BTU not meeting the minimum requirement of 42,000 BTU. Provide gas water heater that meet the <br /> minimum requirement before operating. <br /> ***If Tankless water heater to be installed, provide at least 6GPM at 50 degree rise.**** <br /> RE INSPECTION IS REQUIRED. <br /> AP2400458 SC2160 09/30/2025 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 3 Food Program Service Request Inspection Report <br />